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People, Planet, Profit: Benefit And B Certified Corporations - Comprehension And Outlook Of Business Students, Arlene J. Nicholas, Samuel Sacco 2017 Salve Regina University

People, Planet, Profit: Benefit And B Certified Corporations - Comprehension And Outlook Of Business Students, Arlene J. Nicholas, Samuel Sacco

Faculty and Staff - Articles & Papers

This paper is an overview of the emergence of Benefit and Certified B Corporations that aim to realize a profit and make a positive impact on society as measured by some third party standard. In this way, these corporations differ in corporate purpose from traditional C corporations. Directors and managers are accountable for that defined public benefit. Considerations of sustainable business practices have existed in many industries for several years. However, the recent growth in legislation to create a legal framework for Benefit Corporations is newly emergent. An examination of recent literature explains the rise of these socially responsible organizations ...


Diversity And Inclusion In Healthcare: A Leadership Perspective, Unhee Kim, Jean Halpin, Greg Morrison 2017 Mt. Carmel Saint Ann's Hospital

Diversity And Inclusion In Healthcare: A Leadership Perspective, Unhee Kim, Jean Halpin, Greg Morrison

The Graduate Schools Executive Guest Lecture Series

A panel of healthcare executives explore issues of diversity and inclusion from the perspective of their organizations, their professions and the communities they serve.


Acknowledgements, Jessica Walter M.A. 2017 Oregon Health & Science University

Acknowledgements, Jessica Walter M.A.

Reflections on Healthcare Management

Acknowledgement of those involved with the set-up and creation of Reflections in Healthcare Management.


Faculty Introduction: Genesis Of The Anthology & This Issue, David Pollack M.D. 2017 Oregon Health & Science University

Faculty Introduction: Genesis Of The Anthology & This Issue, David Pollack M.D.

Reflections on Healthcare Management

Faculty introduction representing the outstanding work from the most recent class to take the healthcare organizational ethics course in the OHSU-PSU Health Management MBA program.


Congratulatory Message, Joe Robertson M.D., M.B.A. 2017 Oregon Health & Science University

Congratulatory Message, Joe Robertson M.D., M.B.A.

Reflections on Healthcare Management

Congratulations message from OHSU President Joe Robertson to OHSU’s Division of Management for launching this new online anthology, Reflections on Healthcare Management.


Ethical Considerations In End-Of-Life Care: A Physician's Perspective, Nikhil Batra M.D. 2017 Oregon Health & Science University

Ethical Considerations In End-Of-Life Care: A Physician's Perspective, Nikhil Batra M.D.

Reflections on Healthcare Management

This article discusses ethical issues during end-of-life care in hospitals. The commonly used medical-ethics framework for ethical reasoning comprising of autonomy, beneficence, non-maleficence and justice is somewhat limited in guiding healthcare decisions. The continuing advancement in medical technology, current medico-legal environment, longer life-expectancies and increasing contextual awareness are some of the reasons why this ethical framework is limited. In addition to this, the high costs involved in end-of-life care make limit-setting decisions necessary. In order to be well received, these decisions need to meet the four conditions of accountability for reasonableness namely – publicity, relevancy, revision and appeal, and regulation. There ...


Introduction, David Barnard PH.D., J.D. 2017 Oregon Health & Science University

Introduction, David Barnard Ph.D., J.D.

Reflections on Healthcare Management

Introduction message about the essays collected from the “Ethics in Healthcare Organizations” course offered by the OHSU School of Medicine’s Division of Management as part of the Healthcare MBA Program. A course taught by Drs. David Pollack, Jeanne Enders, and Ruth Ann Tsukuda, which exposes students to several frameworks for the analysis of the ethical aspects of health policy and research, organizational behavior, and clinical care.


Bioethics Of Information Disclosure Across Cultures: "Don't Talk With Her About Her Condition", Christina Li 2017 Oregon Health & Science University

Bioethics Of Information Disclosure Across Cultures: "Don't Talk With Her About Her Condition", Christina Li

Reflections on Healthcare Management

Healthcare providers are routinely faced with the bioethical challenges of information disclosure across cultures. This paper analyzes the case study “Don’t Talk with Her about Her Condition” (Center for Ethics in Health Care at OHSU; See Appendix A). The impact of full, partial, or non-disclosure of information to a patient greatly varies in different cultural contexts. While information disclosure emphasizes patient autonomy and informed decision-making, it also can be controversial to improving patient safety. In some cultures, the disclosure of a negative diagnosis or prognosis can pose significant risk to the patient’s health, so the patient family takes ...


Ethical Issues In Cancer Clinical Trials, Rosemary Makar M.D. 2017 Oregon Health & Science University

Ethical Issues In Cancer Clinical Trials, Rosemary Makar M.D.

Reflections on Healthcare Management

Results from cancer clinical trials make valuable contributions to medical care for cancer patients. Two important ethical dilemmas in these trials are respect for individual autonomy and distributive justice. This paper explores the history of clinical trials and discusses these ethical dilemmas citing specific examples. Although there has been significant progress in these ethical issues, future review and legislation of the process will continue to improve and solidify ethical aspects of cancer clinical trials.


The Ethics Of Universal Health Care In The United States, Michael Meyer 2017 Oregon Health & Science University

The Ethics Of Universal Health Care In The United States, Michael Meyer

Reflections on Healthcare Management

Close examination of ethical arguments both for and against universal health care in the United States should lead Americans to choose universal coverage over opposing alternatives. While the number of Americans without health insurance has dropped significantly due to the passage of the Affordable Care Act, nearly 30 million Americans remain without health coverage and experience limited access to health care. This considerable figure should be of tremendous moral concern, as studies have shown that tens of thousands of Americans die each year due to this lack of health coverage. Additionally, universal health coverage would promote fairness, equality and greater ...


Access To Health Care Coverage In The United States: Rationing People Rather Than Services, Leah Vasquez 2017 Oregon Health & Science University

Access To Health Care Coverage In The United States: Rationing People Rather Than Services, Leah Vasquez

Reflections on Healthcare Management

Access to health care coverage in the United States is far from equitable and raises many ethical questions related to fairness. Access refers to the ease in which an individual in need of medical services is able to obtain them. Under the framework of bioethics, issues surrounding access to health care coverage fall primarily under the principle of justice as it pertains to fairness, entitlement to and equitable distribution of resources (Trotochaud, 2006). Within the U.S. health care system, access to health insurance is the most critical factor for determining one’s access to health care services.


Moral Courage, Jennifer Teeples 2017 Oregon Health & Science University

Moral Courage, Jennifer Teeples

Reflections on Healthcare Management

“Moral Courage means doing the right thing in the face of your fears” (Manji, 2016). It is not often a regular topic when discussing the complicated relationships between doctors, patients, administrators, and nurses. However, it is a topic that has the ability to have a substantial impact on the patient experience, cost of healthcare, and morale. Through creating a culture that embraces and encourages moral courage, we can improve the patient experience and create a more positive, collaborative workplace.


Priority Access To Care In The Emergency Department, James A. Heilman M.D. 2017 Oregon Health & Science University

Priority Access To Care In The Emergency Department, James A. Heilman M.D.

Reflections on Healthcare Management

“Very important persons” (VIPs), “friends of physicians” and Emergency Department (ED) staff and family members often receive care in front of other patients who may be critically ill waiting for care in the ED lobby. This paper explores the organizational ethics of these three select groups of patients who often obtain priority access to care in the busy ED. A specific case is provided to highlight the challenges of these complicated encounters. The organizational ethics are then explored and potential solutions are identified. This is an important ethical and operational issue that requires exploration by emergency department and hospital leaders ...


Investigation Of Abuse Allegations In Hospitals: An Ethical Dilemma, Todd M. Warlik RN 2017 Oregon Health & Science University

Investigation Of Abuse Allegations In Hospitals: An Ethical Dilemma, Todd M. Warlik Rn

Reflections on Healthcare Management

Abuse of patients by healthcare workers is an issue of serious concern for every hospital and healthcare facility. These investigations present a serious challenge to healthcare administrators in that they present a unique ethical dilemma: how to balance to concerns and safety of patients with the obligation of ensuring justice and fairness for employees. This paper attempts to dissect this issue through case example and analysis.


Machine Intelligence And Medical Ethics, Paul Wilkens 2017 Oregon Health & Science University

Machine Intelligence And Medical Ethics, Paul Wilkens

Reflections on Healthcare Management

The practice of medicine increasingly relies on machine intelligence. Most of the existing technology functions as tools to support human activity, but some emerging uses are much more complex. Automation of complicated tasks requires greater autonomy and better decision-making skills. When lives are on the line, decisions made by machine intelligence must conform to the highest standards of utility and ethical behavior. We discuss some of the near-future medical applications of machine intelligence, and how we can ensure the ethical operation of these devices. We conclude with a review of ethical philosophies that might be used to inform machine medical ...


Clinical & Organizational Ethical Considerations In Determining Death And Its Role In Organ Donation, Corey R. White D.O. 2017 Oregon Health & Science University

Clinical & Organizational Ethical Considerations In Determining Death And Its Role In Organ Donation, Corey R. White D.O.

Reflections on Healthcare Management

In 1981 the United States Uniform Determination of Death Act (UDDA) expanded the legally recognized forms of death to either (1) the irreversible cessation of circulatory and respiratory functions, or (2) the irreversible cessation of all functions of the entire brain. The second and new definition is most commonly referred to as death by neurological criteria or brain death. Both cardiopulmonary and brain death are intricately linked to organ transplantation, and the supply of organs. In the US, donation after brain death is the source of the majority of organs. It is also more likely to result in multiple transplantable ...


The "Research Triple Aim": Ethics As A Policy Driver For Funding Medical Research, Tim Burdick M.D., MSC 2017 Oregon Health & Science University

The "Research Triple Aim": Ethics As A Policy Driver For Funding Medical Research, Tim Burdick M.D., Msc

Reflections on Healthcare Management

Just as the allocation of limited healthcare resources is an ethics issue, we can say the same of the finite dollars spent by the federal government on biomedical research. Misappropriated and wasted money delays improving the lives of those afflicted with disease. From this, we conclude quickly that research dollars should be distributed and used in ways that meet ethical tests including that of distributive justice. Policy levers, a common and effective means of pushing national activities in a desired direction, could be targeted to achieve a more ethical approach to how we allocate research funding in the US.

One ...


2017-03-16 Faculty Regent's Report, Morehead State University. Faculty Senate. 2017 Morehead State University

2017-03-16 Faculty Regent's Report, Morehead State University. Faculty Senate.

Faculty Senate Records

Faculty Senate Regent's report from March 16, 2017.


2017-03-16 Faculty Senate Newsletter, Morehead State University. Faculty Senate. 2017 Morehead State University

2017-03-16 Faculty Senate Newsletter, Morehead State University. Faculty Senate.

Faculty Senate Records

Faculty Senate newsletter for March 16, 2017.


Optimization Of A Reporting Process With Input From Multiple Systems, Cheri R. Freedman 2017 Western Oregon University

Optimization Of A Reporting Process With Input From Multiple Systems, Cheri R. Freedman

Student Theses, Papers and Projects (Computer Science)

This project involves the research, development, and improvement of a reporting process used to generate reports in adherence to contractual and legislative requirements. The project will review the beginning process, the proposed and implemented solutions, and the future of the project. The project addresses the goals of data quality, timeliness, and transparency throughout the paper including how they relate to the challenges, solution selection, and overall success of the project. The need for this project reflects the ongoing need for and some of the challenges that are typical of automation and systems integration in state government entities. As the role ...


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